Nursing Elites

1. Maternal high blood glucose _________.

• A. can cause Rh factor incompatibility
• B. is linked to poorer memory in early childhood
• C. is linked to low birth weight
• D. can cause the mother's blood pressure to increase sharply

Correct answer: B

Rationale: Maternal high blood glucose is linked to poorer memory in early childhood. Research has shown that exposure to high levels of maternal blood glucose during pregnancy may negatively impact a child's memory development in early childhood. This highlights the importance of managing blood glucose levels during pregnancy for the health and development of the child. Choices A, C, and D are incorrect because they do not reflect the established link between maternal high blood glucose and poorer memory in early childhood. Rh factor incompatibility is related to blood type differences between the mother and the fetus, low birth weight can be linked to various factors other than maternal blood glucose, and sharp increases in the mother's blood pressure are not directly associated with maternal high blood glucose.

2. Terrance, whose birth mother drank heavily throughout pregnancy, has a thin upper lip, short eyelid openings, a small head, and a smooth philtrum. His physical growth has been slow, and he shows impairment in memory, attention span, motor coordination, and social skills. Terrance has __________.

• A. fetal alcohol syndrome
• B. partial fetal alcohol syndrome
• C. alcohol-related neurodevelopmental disorder
• D. cytomegalovirus

Correct answer: A

Rationale: Terrance exhibits a combination of physical abnormalities like a thin upper lip, short eyelid openings, a small head, and a smooth philtrum, along with developmental delays and cognitive impairments. These characteristics are indicative of fetal alcohol syndrome (FAS), which is caused by maternal alcohol consumption during pregnancy. FAS is a severe condition resulting from prenatal alcohol exposure and is characterized by a range of physical, cognitive, and behavioral issues. Choice A, fetal alcohol syndrome, is the correct answer as it aligns with Terrance's symptoms and the effects of maternal alcohol consumption during pregnancy. Choices B, C, and D are incorrect because they do not encompass the full spectrum of symptoms and impairments presented by Terrance, which are specific to fetal alcohol syndrome.

3. The more a mental ability depends on __________ intelligence, the earlier it starts to decline.

• A. fluid
• B. crystallized
• C. emotional
• D. cultural

Correct answer: A

Rationale: The correct answer is A: fluid. Fluid intelligence, which involves problem-solving and reasoning, tends to decline earlier than crystallized intelligence. Crystallized intelligence, on the other hand, involves knowledge and skills acquired over time and is more stable with age. Emotional intelligence and cultural intelligence are not directly related to the decline of mental abilities mentioned in the question, making them incorrect choices.

4. According to Erikson, when parents are over- or undercontrolling, the outcome is a child who __________.

• A. feels forced and shamed
• B. acts competently on his own
• C. asserts his independence
• D. feels self-confident

Correct answer: A

Rationale: According to Erikson, when parents are over- or undercontrolling, the outcome is a child who feels forced and shamed. This is because overly controlling parents can make the child feel inadequate, leading to a sense of shame and doubt. Choice B, 'acts competently on his own,' is incorrect because overcontrolling parents hinder the child's ability to act independently. Choice C, 'asserts his independence,' is incorrect because overcontrolling parents can actually suppress the child's independence. Choice D, 'feels self-confident,' is incorrect because overcontrolling parenting can undermine the child's confidence and lead to feelings of inadequacy.

5. In ecological systems theory, how does Toby's move just before entering fourth grade represent a significant change in his life?

• A. Microsystem
• B. Mesosystem
• C. Exosystem
• D. Chronosystem

Correct answer: D

Rationale: In ecological systems theory, the chronosystem refers to the dimension of time and how events and transitions over time can influence an individual's development. Toby's move just before entering fourth grade represents a significant change in his life that falls under the chronosystem. The microsystem involves the immediate environments and relationships that directly influence an individual, the mesosystem relates to connections between these environments, and the exosystem includes external settings that indirectly influence the individual, such as parents' workplaces. Therefore, Toby's move best exemplifies a change in the chronosystem due to the temporal influence on his development.

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